A patient presents to the emergency department (ED) with complaints of dull chest pain. He rates the pain as a 6 on a scale of 0 to 10
His vital signs (V/S) are: R–20, BP–162/90, P–112, T–97.8. Prior to administration of a nitrate drug, which information would be most important for the nurse to obtain?
a. Has the patient experienced any dizziness, nausea, or vomiting?
b. Has the patient used any alcohol or drugs for erectile dysfunction recently?
c. Has the patient taken any drugs within the past 12 hours?
d. Has the patient had a previous heart attack?
ANS: B
Nitroglycerin can intensify the effects of other hypotensive agents, including drugs that have vasodilating effects, such as drugs for erectile dysfunction. Patients should also be instructed to avoid alcohol.
Asking the patient about dizziness, nausea, and vomiting may be pertinent, but is not most important for impending chest pain.
This response is not as specific regarding the erectile dysfunction drugs so it is not the most important question to ask given the other options to choose from in the list of answers
This is an important issue but not as important as answer #2 which asks about the alcohol or erectile dysfunction drugs.
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